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Depressive disorders
Dysthymia (persistent depressive disorder)
A chronic low mood, less intense than major depression but lasting years, to the point where the person believes "that's just how I am".
Common signs
- Feeling down most days for years
- Low self-esteem
- Tiredness
- Pessimism
- Difficulty enjoying things
Having some of these signs doesn't mean you have the disorder: only a professional can make a diagnosis.
Why does it happen?
Biological factors, early experiences and ongoing stress play a part.
How is it diagnosed?
Assessment of the duration and course of the symptoms.
Treatment
Medium-term psychotherapy and, if needed, coordination with psychiatry.
Want some guidance? Take the Depression test: free, 2-3 minutes.
We're here for you at Clínica Vivaldi
Registered psychologists at Calle Chiva 25 (Valencia) and online across Spain. First appointment with no waiting list; we work with psychiatry and nutrition when needed.
Educational content based on the DSM-5-TR classification. It does not replace a professional assessment. Reviewed by the Clínica Vivaldi team, November 2026.